NPI | 1871929612 |
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Doing Business As | TWIN TOWN TREATMENT CENTER SHERMAN OAKS |
Entity Type | Organization |
Authorized Contact | DAVID PAUL LISONBEE CEO/ President 310-629-9669 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 190290BP) |
Enumeration Date | 2013-09-25 |
Last Update Date | 2022-07-21 |